Our Tonw event request form pages

Page 1

Event Request Form Hello there! Thank you for your interest in holding an event at Our Town. Please fill out this form, and return it to the Our Town sta no later than three weeks prior to your preferred performance date. Management will review your material and confirm as soon as possible. No event will occur without management approval and signature in the box below.

! Name: ____________________ Phone #: ______________ Email: _______________________ ! Name of performer/group/host: Number of performers/hosts______ ! Description of event: ____________________________________________________________ ! Volume level 0-10 (0=knitting, 10=metal band) _______________________________________ ! Where to see an example of event content (website, youtube URL): ! ______________________________________________________________________________ ! Preferred event date (earliest 3 weeks from today) ____________________________________ ! ________________________________

Preferred event start time ____________________________________________ (must end half hour before closing i.e 10:30pm fall/winter 10pm spring/summer)

! Will the event be publicized or invitations given? YES / NO If yes, # of guests expected: _____ ! List equipment to be used (amps, instruments, tv, etc) Our Town may be able to supply some equipment.

! ! ! ! ! ! !

**Our Town has the authority to stop the event at any time, without notice, if the event is not conducive to the environment of the cafĂŠ**

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I acknowledge that I have read and agree to the terms above, and that all the information I have given is true to the best of my knowledge.

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Signature________________________________________ Date ____________________

Our Town Use Only

! Management Approval ________________________ Date _______________________ ! Performance Date ______________________


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